印尼亞齊省的兩個醫院之醫事人員對多重抗藥性結核病的知識, 態度與實踐比較分析

BACKGROUND : Multi drug-resistant tuberculosis (MDR TB) is a major global health problem. The World Health Organization (WHO) estimated that approximately half a million cases emerge every year. Several studies revealed that health care workers are at risk of being transmitted the disease at health care facilities. However, the risk of transmission can be minimized if health care workers have a good knowledge of the communicable disease and proper attitudes and practices when giving treatment and providing health services to patients. AIM : This study aims to determine the level of knowledge, attitudes and practices on multi drug-resistant tuberculosis among the health care workers at Zainoel Abidin General Hospital (a tertiary referral hospital) and Cut Nyak Dhien General Hospital (a secondary hospital) in Aceh, and to assess the association between the demographic characteristics and the levels of knowledge, attitudes and practices of the health care workers. SETTING : The research was conducted from August 2015-October 2015 in two general hospitals in Aceh Province, Indonesia - Zainoel Abidin Hospital in Banda Aceh City and Cut Nyak Dhien Hospital in West Aceh District. DESIGN AND METHODS : This cross-sectional study used a questionnaire survey to assess MDR TB-related knowledge, attitudes, and practices (KAP) among health care workers (HCWs). Data were collected using a simple-structured questionnaire, which was compiled from the KAP-survey guide from the WHO, and also adapted from other similar studies. A consent form was given to the participants before they filled out the questionnaire. A multivariate logistic regression model was used to determine the correlation between KAP and participants’ characteristics. RESULTS : A total of 214 HCWs were enrolled in this study; 126 HCWs were from Zainoel Abidin Hospital and 88 HCWs were from Cut Nyak Dhien Hospital. There were 34 doctors and 180 nurses. The KAP levels of doctors in Zainoel Abidin Hospital and Cut Nyak Dhien Hospital were not significantly different. The multivariate logistic regression analysis showed that nurses in Zainoel Abidin Hospital had better knowledge levels on MDR TB (OR=4.2, p<0.01) and attitudes (OR=3.6, p<0.01) when compared to nurses in Cut Nyak Dhien hospital. Moreover, nurses with a bachelor degree or higher had better levels of knowledge (OR=3.46, p<0.01) and attitudes (OR=2.23, p<0.01) than those with a diploma. Other demographic characteristics such as age, gender, department, and work period were not significantly associated with the KAP level of the participants. CONCLUSIONS : Nurses at Zainoel Abidin Hospital had better levels of knowledge and attitudes on MDR TB in comparison to nurses at Cut Nyak Dhien Hospital. In addition, nurses with higher levels of education possessed better knowledge and attitudes of MDR TB. Further study is needed to collect more samples from doctors.

關鍵字

知識；態度與實踐；多重抗藥性；結核病；醫事人員.

並列摘要

並列關鍵字

Knowledge, Attitudes and Practices (KAP) ； Multi Drug-Resistant (MDR) ； Tuberculosis (TB) ； Health Care Workers (HCW).

參考文獻

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延伸閱讀

徐于雁、彭萬誠（2013）。潛伏結核感染之治療：對移民人口合倂使用isoniazid及rifampicin抗結核藥物之研究報告。感染控制雜誌，23(3)，170-171。https://doi.org/10.6526/ICJ.201306_23(3).0009
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印尼亞齊省的兩個醫院之醫事人員對多重抗藥性結核病的知識, 態度與實踐比較分析

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